Consumer Medicine Information
What is in this leaflet
This leaflet answers some common questions about BIMTOP eye drops. It does not contain
all the available information. It does not take the place of talking to your doctor
All medicines have risks and benefits. Your doctor has weighed the risks of you using
BIMTOP eye drops against the benefits they expect it will have for you.
If you have any concerns about using this medicine, ask your doctor or pharmacist.
Keep this leaflet with the medicine.
You may need to read it again.
What BIMTOP is used for
BIMTOP eye drops are used to lower raised pressure in the eye and to treat glaucoma.
Glaucoma is a condition in which the pressure of fluid in the eye may be high. However,
some people with glaucoma may have normal eye pressure. Glaucoma is usually caused
by a build up of the fluid which flows through the eye. This build up occurs because
the fluid drains out of your eye more slowly than it is being pumped in. Since new
fluid continues to enter the eye, joining the fluid already there, the pressure continues
to rise. This raised pressure may damage the back of the eye resulting in gradual
loss of sight. Damage can progress so slowly that the person is not aware of this
gradual loss of sight. Sometimes even normal eye pressure is associated with damage
to the back of the eye.
There are usually no symptoms of glaucoma. The only way of knowing that you have glaucoma
is to have your eye pressure, optic nerve and visual field checked by an eye specialist
or optometrist. If glaucoma is not treated it can lead to serious problems, including
total blindness. In fact, untreated glaucoma is one of the most common causes of blindness.
BIMTOP eye drops lower the pressure in the eye by helping the flow of fluid out of
the eye chamber.
This medicine can be used alone or together with other eyedrops/medicines to lower
raised pressure within your eyes.
Although BIMTOP eye drops help control your condition, they will not cure it.
This medicine is only available with a doctor’s prescription.
Ask your doctor if you have any questions about why this medicine has been prescribed
Your doctor may have prescribed it for another reason.
For more information about glaucoma, contact Glaucoma Australia Inc (telephone 1800
Before you use BIMTOP
When you must not use it
Do not use BIMTOP if you have an allergy to:
any medicine containing bimatoprost
any of the ingredients listed at the end of this leaflet
Some of the symptoms of an allergic reaction may include:
shortness of breath
wheezing or difficulty breathing
swelling of the face, lips, tongue or other parts of the body
rash, itching or hives on the skin
These drops are for topical use only.
Do not put the eye drops into your eye(s) while you are wearing soft contact lenses.
The preservative in BIMTOP eye drops (benzalkonium chloride) may be deposited in soft
contact lenses. You can put your soft contact lenses back into your eyes 15 minutes
after you have used BIMTOP eye drops.
Do not give this medicine to a child under the age of 18 years.
Safety and effectiveness in children younger than 18 years have not been established.
Do not use this medicine after the expiry date printed on the pack or if the packaging
is torn or shows signs of tampering.
If it has expired or is damaged, return it to your pharmacist for disposal.
If you are not sure whether you should start using this medicine, talk to your doctor.
Before you start to use it
Tell your doctor if you have allergies to any other medicines, foods, preservatives
Tell your doctor if you have or have had any of the following medical conditions:
you have breathing problems
you have liver or kidney problems
you have low blood pressure or heart rate
you have a disease causing swelling of the back of the eye
you have an inflammatory eye condition
Tell your doctor if you are pregnant or plan to become pregnant or are breast-feeding.
Your doctor can discuss with you the risks and benefits involved.
Before you start using BIMTOP eye drops your doctor should tell you that some changes
to your eyes may occur which may be permanent.
Eyelashes may grow longer and thicker, and eyelashes, the skin around the eye and
the coloured part of the eye may become darker. If only one eye is being treated the
cosmetic differences between the eyes may be noticeable. None of these changes affect
Hair may grow where BIMTOP contacts the skin. It is important to use as directed.
If you have not told your doctor about any of the above, tell them before you start
Taking other medicines
Tell your doctor if you are taking any other medicines, including any that you buy
without a prescription from your pharmacy, supermarket or health food shop.
It is not expected that this medicine will interact with other medicines, however
you should always ask your optical practitioner, doctor or pharmacist if you have
any concerns about using BIMTOP eye drops as well as other medications.
There is a potential for the eye pressure effect to be reduced if using other glaucoma
eye drops of the same type as BIMTOP.
Your doctor and pharmacist have more information on medicines to be careful with or
avoid while taking this medicine.
How to use BIMTOP
Follow all directions given to you by your doctor or pharmacist carefully.
They may differ from the information contained in this leaflet.
If you do not understand the instructions on the pack, ask your doctor or pharmacist
How much to use
Use BIMTOP eye drops only as prescribed by your doctor.
Your doctor will tell you how many drops you need to use each day.
The usual dose is one drop in the affected eye(s) once daily, given in the evening.
Follow all directions given to you by your doctor carefully.
The directions may differ from the information contained in this leaflet.
Use BIMTOP eye drops every day, at about the same time each day, unless your doctor
tells you otherwise.
Using your eye drops at the same time each day will have the best effect on your eye
pressure. It will also help you remember when to use the eye drops.
If you are using more than one eye drop product, wait 5 minutes before using the second
If you are being changed from one eye drop to another, follow your doctor’s instructions
carefully as to when to stop the old drops and when to start the new drops.
How to use it
You may find it easier to put drops in your eye while you are sitting or lying down.
If you are wearing soft contact lenses, remove them before putting the drops in your
To open a new bottle of BIMTOP eye drops first tear off the protective seal from the
bottle. The contents are sterile if the seal is intact.
The seal will break and you can pull it off and then throw it away.
1. Wash your hands well with soap and water.
2. Remove the lid/cap.
3. Hold the bottle upside down in one hand between your thumb and forefinger or index
4. Using your other hand, gently pull down your lower eyelid to form a pouch or pocket.
5. Tilt your head back and look up.
6. Put the tip of the bottle close to your lower eyelid. Do not let it touch your
7. Release one drop into the pouch or pocket formed between your eye and eyelid by
gently squeezing the bottle.
8. Close your eye. Do not blink or rub your eye.
9. While your eye is closed, place your index finger against the inside corner of
your eye and press against your nose for about two minutes. This will help to stop
the medicine from draining through the tear duct to the nose and throat, from where
it can be absorbed into other parts of your body. Ask your doctor for more specific
instructions on this technique.
10. Replace the lid/cap, sealing it tightly.
11. Wash your hands again with soap and water to remove any residue.
Wait 15 minutes before replacing your contact lenses.
Be careful not to touch the dropper tip against your eye, eyelid or anything else
to avoid contaminating the eye drops.
How long to use it
BIMTOP eye drops help control your condition, but do not cure it. Therefore, they
must be used every day.
Continue using BIMTOP eye drops for as long as your doctor prescribes.
If you forget to use it
If you miss a dose, skip the dose you missed and administer your next dose when you
are meant to. Otherwise, use the drops as soon as you remember, and then go back to
using them as you would normally.
If you are not sure whether to skip the dose, talk to your doctor or pharmacist.
Do not administer a double dose to make up for the dose that you missed.
If you take too much (overdose)
If you accidentally put several drops in your eye(s), immediately rinse your eye(s)
with warm water.
If you think that you or anyone else may have swallowed any or all of the contents
of a bottle of BIMTOP eye drops, immediately telephone your doctor or Poisons Information
Centre (Australia: telephone 13 11 26) for advice, or go to Accident and Emergency
at the nearest hospital. Do this even if there are no signs of discomfort or poisoning.
You may need urgent medical attention.
While you are using BIMTOP
Things you must do
Have your eye pressure checked when your eye specialist says, to make sure BIMTOP
eye drops are working.
If you develop an eye infection, receive an eye injury or have eye surgery tell your
Your doctor may tell you to use a new container of BIMTOP eye drops because of possible
contamination of the old one.
If you become pregnant while using BIMTOP eye drops tell your doctor immediately.
If you wear soft contact lenses, remove them before using BIMTOP eye drops. Leave
your lenses out for at least 15 minutes after putting in the eye drops.
Tell your doctor if your condition gets worse or does not get better while using BIMTOP
If you are about to start any new medicine tell your doctor and pharmacist that you
are using BIMTOP eye drops.
Things you must not do
Do not give it to anyone else, even if they have the same condition as you.
Do not stop using this medicine without first talking to your doctor.
If you stop using your eye drops, your eye pressure may rise again and damage to your
eye may occur.
Things to be careful of
Your vision may blur for a short time after you put in your BIMTOP eye drops. If this
happens you should wait until you can see well again before you drive or use machinery.
BIMTOP eye drops are not expected to cause any problems with your ability to drive
a car or operate machinery. However, as a general precaution be careful driving or
operating machinery until you know how it affects you.
Tell your doctor or pharmacist as soon as possible if you do not feel well while you
are using BIMTOP.
This medicine helps most people with glaucoma, but it may have unwanted side effects
in a few people. All medicines can have side effects. Sometimes they are serious,
most of the time they are not. You may need medical attention if you get some of the
Do not be alarmed by the following lists of side effects. You may not experience any
Ask your optical practitioner, doctor or pharmacist any questions you may have.
Tell your doctor if you notice any of the following and they worry you:
red, congested eyes
growth of eyelashes
itching or irritation of eye/s
The above list includes the more common side effects of your medicine.
Tell your doctor as soon as possible if you notice any of the following:
discharge from the eye
redness in or around the eye
increased tears and inflamed areas around eye/s
small lesions or erosions on the eye surface
allergic effects on eye and surrounding eyelid
pain in the eye
feeling of something in the eye
burning of eye and nearby eyelid
dryness, irritation, sensitivity to light
an increase in colouring or pigment of area around eye
darkening of the coloured part of the eye
swelling of the back of the eye
The above list includes serious side effects that may require medical attention. Serious
side effects are rare.
If any of the following happen, tell your doctor immediately or go to Accident and
Emergency at your nearest hospital:
spasm of the eye where there is uncontrolled blinking and squeezing of eyelid
swelling of eyelid
inflammation of the coloured part of eye
bleeding in eye chamber
eyelid retraction headache, weakness, and dizziness
signs of infection such as pus or foul smells exuding from the eye(s)
asthma, exacerbation of asthma, or shortness of breath
abnormal hair growth
The above list includes very serious side effects. You may need urgent medical attention
or hospitalisation. These side effects are very rare.
Tell your doctor or pharmacist if you notice anything that is making you feel unwell.
Other side effects not listed above may also occur is some people.
After using BIMTOP
Keep your eye drops in a cool place where the temperature stays below 25°C.
Do not leave the top/lid off the bottle for any length of time, to avoid contaminating
the eye drops.
Do not store BIMTOP or any other medicine in the bathroom or near a sink. Do not leave
it on a window sill or in the car.
Heat and dampness can destroy some medicines.
Keep it where children cannot reach it.
A locked cupboard at least one-and-a-half metres above the ground is a good place
to store medicines.
Write the date on the bottle when you open the eye drops, and dispose of any remaining
solution after four weeks.
Open a new bottle every four weeks.
Eye drops contain a preservative which helps prevent germs growing in the solution
for the first four weeks after opening the bottle. After this time there is a greater
risk that the drops may become contaminated and cause an eye infection.
If your doctor tells you to stop taking this medicine or the expiry date has passed,
ask your pharmacist what to do with any medicine that is left over.
What it looks like
BIMTOP eye drops are a clear, colourless, sterile solution.
BIMTOP contains 300 micrograms/mL of bimatoprost as the active ingredient.
The eye drops also contain the following inactive ingredients:
citric acid monohydrate
dibasic sodium phosphate
water for injections
BIMTOP is distributed in Australia by:
Alphapharm Pty Ltd
Level 1, 30 The Bond
30-34 Hickson Road
Millers Point NSW 2000
This leaflet was prepared in September 2020.
AUST R 274754